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The post-operative transthoracic echocardiogram shows diffuse pericardial adhesions (consistent with the post-operative status), and no significant inspiratory septal shift (Figs. 30-32). .
![Transthoracic pulsed Doppler apical 4-chamber mitral valve flow](https://echobyweb.com/wp-content/uploads/2022/04/tt3206_ttpdap4cmvf_post.jpg)
![Transthoracic pulsed Doppler apical 4-chamber pulmonary venous flow](https://echobyweb.com/wp-content/uploads/2022/04/tt3206_ttpdap4cpvf_post.jpg)
Mitral valve and pulmonary venous flow velocities (Figs. 33-34) do not show any significant respiratory variation.